Organization
TRANSFORMING PHYSICAL THERAPY LTD
Active
Other names
Transforming Physical Therapy & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MATTIE ROSE CARTER PT, DPT (OWNER)
(618) 335-4271
Entity
Organization
Contact information
Practice address
126 S 1ST ST, VANDALIA, IL 62471-2803
(618) 283-1634
(618) 283-0423
Mailing address
126 S 1ST ST, VANDALIA, IL 62471-2803
(618) 283-1634
(618) 283-0423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
03/04/2026
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